AI attempts MMI prompts

ChatGPT answers MMI questions

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Beginner
Dr. Cheung recommends homeopathic medicines to his patients. There is no scientific evidence or widely accepted theory to suggest that homeopathic medicines work, and Dr. Cheung doesn't believe them to. He recommends homeopathic medicine to people with mild and non-specific symptoms such as fatigue, headaches and muscle aches, because he believes that it will do no harm, but will give them reassurance. Consider the ethical problems that Dr. Cheung's behaviour might pose. Discuss these issues with the interviewer.
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ChatGPT's answer ...

I believe Dr. Cheung's behavior is ethically questionable because, while he may believe that homeopathic medicines will do no harm, there is still no scientific evidence that suggests they will provide any benefit. Further, by encouraging the use of homeopathic medicines, Dr. Cheung may be providing false reassurance to his patients and leading them to forgo more effective treatments for their ailments. Additionally, this practice could be seen as deceptive and misleading, as Dr. Cheung is straying from accepted scientific norms.

Dr. Cheung should consider the ethical implications of his actions and be honest and transparent with his patients. He must openly discuss the lack of evidence for homeopathic treatments and explain their potential harm. Doing so will maintain the trust and respect of his patients, while still providing them with compassion. Furthermore, Dr. Cheung should focus on conventional medical treatments, recommending homeopathic medicines only when they are a patient's last resort option.

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Beginner
The daughter of the interviewer is 16 years old. She is adamant that she have a tattoo next week. The interviewer is against letting her daughter have a tattoo and this is causing much friction in the household. What advice would you give the interviewer?
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ChatGPT's answer ...

I would start by advocating for open communication. It's important that the daughter and her parents talk about the implications of getting a tattoo before making a decision. This is especially important at 16-years-old, as tattoos may permanently mark her body. The implications of having a tattoo at a young age need to be discussed before the daughter makes a decision.

It's also important to understand why the daughter is interested in getting a tattoo. Does she feel like it expresses her identity? Does she want to feel more grown-up? It's important to explore any motivations that the daughter has for getting a tattoo.

In addition, it's important to recognize the legal implications. In Canada, minors (persons under the age of 18) must be accompanied by a parent or guardian to get a tattoo. The daughter's parents should think about what message they are sending by accompanying her to get a tattoo and consider if it is okay for them to consent for their daughter to get a tattoo.

Ultimately, it is the daughter's choice. She may make a decision to get a tattoo, and parents need to accept that she is ready to make that choice. However, it is important for her to fully understand the implications and make an informed decision.

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Advanced
Due to a shortage of physicians in rural and Northern communities in BC, some policy-makers have suggested that medical programs preferentially admit students who are willing to commit to a 2 or 3 year tenure in rural areas after graduation. Consider the broad implications of this policy for health care and the costs associated. Will this policy be effective?
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ChatGPT's answer ...

The policy of preferentially admitting students willing to commit to a 2 or 3 year tenure in rural and Northern communities of BC is an effective way to address the shortages of physicians in these areas. It would not only help to address the current shortages, but it would also create a more sustainable and equitable model of health care across the province. The policy would also help to improve the quality and access to healthcare for rural and Northern communities, allowing for more timely care and better overall health outcomes.

However, this policy should also consider the costs associated with such a system. The additional costs would include improved education, access to medical equipment and supplies, and medical staff to ensure that the necessary care is being provided to these communities. In addition, there will be the costs associated with recruiting doctors willing to commit to a short-term multi-year tenure in rural and Northern BC.

Overall, it is essential to ensure that the policies created to address the shortage of physicians in rural and Northern communities are effective and sustainable. These policies should take into account the costs associated with implementation, while also creating equitable and accessible health care structures.

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Intermediate
In June 2011, the Vancouver Canucks lost the Stanley Cup and riots broke out in Downtown Vancouver. Discuss the impact on the community and the range of health care professionals at St. Paul‟s Hospital.
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ChatGPT's answer ...

The event of the Vancouver Canucks' 2011 Stanley Cup loss had a devastating impact on the community, and it put a strain on the professionals at St. Paul’s Hospital. From what I recall, the emergency room and trauma teams were busy all night treating non-life threatening injuries resulting from the riots. It was a very stressful night for the health care team at St. Paul’s, as they had to take urgent care of people who had been injured in the riot as well as continue their usual duties.

The most significant impact of the Vancouver Canucks' 2011 Stanley Cup loss was on the mental health of the community. Students and young adults were the most affected, many showing signs of depression or anger issues. The event was a huge blow to the city’s morale, and the professionals at St. Paul’s had to work around the clock to provide care and support to those affected. A range of health care professionals, such as psychiatrists, psychologists and social workers, were necessary to address the mental health needs of the community following the riots.

Overall, the Vancouver Canucks' 2011 Stanley Cup loss had a major impact on the community and the demands on the care staff at St. Paul’s. The event highlighted just how vital experienced health care professionals are in times of crisis and unrest, and it was a powerful reminder of the importance of mental health care.

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Intermediate
You are a first year medical student who is doing above average in some subjects, and below average on others. What would you do in this situation? What resources would you access?
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ChatGPT's answer ...

As a first-year medical student, it is not uncommon to struggle with some classes or topics more than others. In my experience, the best way to overcome any perceived weaknesses is to use additional resources and to think critically. Firstly, I would identify any areas that I am struggling with, reach out to my peers, professors, or tutors to access extra support and guidance, and actively look for additional resources to supplement my studies. These could range from online courses and tutorials, to review books and flashcards. Additionally, I would make sure to get plenty of rest and attend any extra classes or review sessions that are available. Finally, I believe it is important to prioritize and manage your time well to ensure you are able to stay ahead of the curriculum demands – this may involve reallocating study time towards the areas where more improvement is needed. By proactively using any resources at your disposal, I am confident the necessary improvement can be achieved.

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Advanced
Discuss any topical health care issue that is unique to the Pacific Northwest region (or region for Med School you are applying to)?
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ChatGPT's answer ...

As a physician practicing in the Pacific Northwest, one of the most pertinent health care issues that we’re facing is the rise of opioid addiction. As the crisis spreads, many people are being put at risk and the numbers of deaths are on the rise every year. This has led to an increase in resources and efforts to combat the opioid epidemic. Some of these interventions include access to medications that can help with addiction, such as buprenorphine, as well as places where individuals can safely dispose of unused prescriptions in order to help prevent misuse. In addition, there is an ongoing dialogue to provide better access to mental health resources, as many people that are developing addiction habits are being driven to drug use out of desperation. All of these efforts are geared toward providing better and more comprehensive care, in order to help address this issue in our region.

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Intermediate
Universities are commonly faced with the complicated task of balancing the educational needs of their students and the cost required to provide learning resources to a large number of individuals. As a result of this tension, there has been much debate regarding the optimal size of classes. One side argues that smaller classes provide a more educationally effective setting for students, while others argue that t makes no difference, so larger classes should be used to minimize the number of instructors required. Discuss your opinion with the examiner.
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ChatGPT's answer ...

I believe that while larger classes may minimize the number of instructors required, it should not be the guiding factor when determining the optimal size of classes. Ultimately, smaller classes provide a more educationally effective setting for students, in my opinion. Not only can students learn more effectively due to more individualized instruction, but they are also more likely to stay engaged in the learning process. Larger classes can often be impersonal and resulting in a lack of student engagement. Furthermore, with smaller classes, instructors have an opportunity to assess any learning gaps and intervene quickly as needed. All these benefits become much harder to achieve in larger classes. Thus my opinion is that smaller classes are the optimal size for universities to strive for.

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Advanced
You are a 1st year med student and you are in the room with a small group of students, a doctor and a young female patient. The doctor tells the patient to remove her shirt to do a breast exam. The patient is visibly uncomfortable but does what she is told. The physician then performs the exam and tells you to do it as well. Discuss your reaction to this situation.
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ChatGPT's answer ...

Thank you for the opportunity to discuss this situation. It is a difficult one in which all stakeholders must have their best interests and comfort considered. My reaction to a patient being uncomfortable while removing her shirt to do a breast exam is one of empathy and care. As a student, I would offer to talk to the patient and explain the procedure. I would offer her an opportunity to ask questions and to take comfort knowing that a doctor was present in the room. Additionally, I would explain the procedure in detail and offer her a gown or other form of covering prior to the exam starting.

As for the elderly woman in the emergency room with asthma, there are quite a few ethical issues at play. The first is the patient's autonomy in deciding whether or not to accept a student's care. Since the patient is unable to make a fully informed decision due to her health condition, the onus is on the physician and/or student to ensure that the elderly woman's wishes and beliefs are taken into consideration before making any decisions. Additionally, in this case, it is important to understand the woman's culture and religion, and to offer alternatives if treatment from a student is not acceptable. Safeguards should ensure that both the patient and the student are considered. For instance, a nurse or other healthcare provider could be present to ensure that the patient's wishes are respected and that the student is not in any danger. Additionally, it is important to consider clear communication between the physician and student, and to explicitly explain why certain decisions are being made.

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Intermediate
The parking garage at your place of work has assigned parking spots. On leaving your spot, you are observed by the parking attendant as you back into a neighbouring car, a BMW, knocking out its left front headlight and denting the left front fender. The garage attendant gives you the name and office number of the owner of the neighbouring car, telling you that he is calling ahead to the car owner, Tim. The garage owner tells you that Tim is expecting your visit. You enter Tim‟s office.
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ChatGPT's answer ...

When I entered Tim's office, I immediately apologized for the incident and explained what had happened in detail. I could tell that Tim was understandably upset, so I offered to take full responsibility for the damage and take care of any costs associated with the repair. I informed him that I had the insurance coverage necessary to cover the repairs, and if he needed assistance with filing a claim, I was more than willing to help. I also let him know that if there were any other expenses, such as a rental car or towing fees, I was happy to cover those too. Finally, I promised Tim that I would do whatever I could to ensure the issue was resolved in a timely and satisfactory manner.

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Intermediate
One of the key competencies for medical practice outlined by the Royal College of Physicians and Surgeons of Canada is the need to develop and maintain self-assessment skills. Describe the strategies you employ when assessing your ability.
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ChatGPT's answer ...

When assessing my ability, I use a combination of self-reflection and feedback from others. In terms of self-reflection, I take the time to think about my individual strengths and weaknesses and how they factor into the job I’m performing. I make sure to question my decisions and actions and consider alternative options. This approach allows me to stay aware of how effectively I am performing and how I can continue to improve.

In addition to self-reflection, I also use feedback from my peers and mentors. I usually ask for constructive criticism and I welcome feedback with an open mind. I feel that again, this provides me with a valuable insight into how I am performing and ways in which I can grow as a doctor.

Overall, I’m constantly engaging in self-assessment in order to be the best doctor I can be.

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Advanced
There are two people in the next room that are in a conflict. Mediate the discussion and find a way to resolve the situation.
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ChatGPT's answer ...

If I were mediating a discussion between two people in conflict, I would begin by encouraging and creating a safe space for conversation. I would explain the importance of listening intently and without interruption to each person's perspective. Then, I would ask each person to speak in turn to create an understanding of both sides. After each person has had a chance to express their point of view, I would help them identify any common ground and ways to move forward. I would also help them explore different perspectives, looking for gaps or misunderstandings. Finally, I would collaborate with each person to develop a mutually beneficial resolution and create an action plan to ensure that the conflict is managed over time.

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Beginner
The story of Canadian Olympian and Paralympian Brian McKeever has touched many during the 2010 Winter Games in Vancouver. He was the first ever to qualify for both the Olympic Games and Paralympic games, but at the last minute, the Olympic skiing couch decided that Brian has a smaller chance in winning than his teammates, so he did not get to race. If you were Brian's friend, what would you do when he found out he couldn't race in the Olympic Games? You knew that his Paralympic games would take place 2 weeks after the Olympics.
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ChatGPT's answer ...

First, I would allow Brian the space and time to work through any feelings of disappointment and frustration that he may be feeling in the moment. I would also remind him that, although he does not get to race in the Olympic Games, he has achieved an incredible honor in making it to the Olympic level, and that he has achieved something very few athletes have. I would encourage him to take the time to recognize and celebrate all of his accomplishments that got him to where he is today, and to be proud of what he has accomplished.

I would then try to help Brian focus on the upcoming Paralympic Games and work to train and prepare for these events. I would provide encouragement and support to help boost Brian’s confidence, and do my best to help him stay positive and productive while he trains for the upcoming games. I would remind Brian that the great thing about sports is that you always have another opportunity to succeed, and he has the opportunity to do so in the Paralympic Games. Finally, I would try to make sure that Brian gets to enjoy some time off and relaxation during this period, as I know the days of training would be intense.

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Advanced
Some people think that the new or younger generation of physicians are not as hard-working (i.e., wanting to leave right at 5:00 p.m., not wanting to put in as long of a work week) as previous generations. How do you feel about this perception?
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ChatGPT's answer ...

I strongly disagree with this perception. As a fourth-year medical student, I have seen firsthand the dedication and hard work of my peers. We are motivated to provide the best care to our patients by staying up-to-date on the latest discoveries in medicine and spending many extra hours studying and researching. On the other hand, I understand that it is important to achieve a balance between work and personal life. Perhaps this is where the perception stems from - that we want to work smarter, not harder. In any case, I believe the commitment to patient care among my peers is unwavering.

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Beginner
What is the difference between Medicare and Medicaid?
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ChatGPT's answer ...

Medicare and Medicaid are two health insurance programs available in the United States. Medicare is a federal health insurance program aimed at individuals who are 65 years or older, although certain individuals of any age may be eligible for coverage. It provides hospitalization insurance and covers other costs for health care such as doctor visits, preventive and outpatient services, mental health care, and prescription drugs. Medicaid is a jointly-funded federal and state health insurance program that helps people with low incomes and certain disabilities obtain health care. It generally provides comprehensive coverage of medical, hospital, and long-term institutional care, as well as preventive and rehabilitative services. Medicaid also provides additional benefits and services that may not be covered by Medicare.

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Advanced
An actor plays the role of your elderly neighbor. You have just accidentally run over your neighbor's cat whilst reversing your car. You have 5 minutes to break the bad news to her.
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ChatGPT's answer ...

I would first take a deep breath and take the time to prepare myself to deliver the news. Before breaking the news, I would pay attention to my neighbor's body language and prepare myself to handle an emotional reaction. When ready, I would explain calmly that there had been an accident and that her cat was unfortunately involved. I would offer my condolences and let her know that I am sorry and ask if she wants to talk about it. Depending on the response, I would provide emotional support and if possible, offer to pay for any veterinary bills. Furthermore, I would let her know that if she needs any help with the arrangements for the cat, I would be there for her.

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Intermediate
When you enter the room there will be a blank sheet of paper in front of you. On the other side of the room there is another candidate who will provide you with instructions regarding how to turn this page into an origami (paper folding) project. Do not look at the other candidate until told that you can do so. You have 5 minutes to complete the project after which you will be given 3 minutes to discuss with your colleague any difficulties that arise during your communication.
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ChatGPT's answer ...

If I enter the room to find a blank sheet of paper in front of me, I would take a few moments to gather myself and be prepared to listen to the instructions my colleague has to offer with an open and attentive mind. I understand communication plays a key role in this task and so when I am informed to not look at the other candidate, I will stay focused on the instructions given. I will be sure to ask questions or clarify any details if they are unclear so that I can accurately follow the instructions to complete the origami project. Additionally, I am well aware of the importance of time management and will strive to complete the project within the given 5 minutes. Once the task is complete, I will be eager to communicate and discuss with my colleague any difficulties that may have arisen during the communication process within the 3 minute timeframe.

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Advanced
A patient has just been diagnosed with cancer. The patient takes the news very badly and is concerned with pain and the immediate treatment. You know that is it extremely likely that the patient will die within 9 months regardless of course of treatment. What do you tell the patient, what are your ethical obligations, your legal obligations?
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ChatGPT's answer ...

My ethical and legal obligations are to provide truthful, clear, and compassionate information to the patient about their diagnosis and the potential course of action. I would emphasize the need to stay positive and to focus on the time they have remaining, while being prepared for the worst-case scenario.

I would explain that their cancer diagnosis is very serious and their life expectancy is limited. I would also explain the potential treatments and their prognosis, and also the potential therapies available to help manage pain associated with the illness.

On a personal and compassionate level, I would listen closely to the patient and help them talk through their options and fears. I would give them time to come to terms with the diagnosis, provide them with credible and accurate information, offer emotional support, and help them to consider their needs and wishes in the course of treatment.

Ultimately, I feel I have an ethical obligation to ensure that the patient is well informed and provided with the best possible care and support. My primary aim is to ensure the patient is well-informed of the risks and consequences of their treatments so that they can make the best decisions for themselves.

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Intermediate
You are a physician who has finished his or her day and decide it's appropriate to leave on time for the first time in months. You have promised to meet your family for dinner. You suddenly receive a phone call from Mrs. Black, a 87 year old patient in a nursing home long time, who wishes that you attend to her long-standing condition. She has been patient of yours for 15 years and refuses to see another doctor. What issues are involved? How would you approach this situation?
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ChatGPT's answer ...

I understand that Mrs. Black is a long-time and loyal patient whom I am grateful for, and I empathize that she wishes to receive medical attention from me, even at the expense of my own personal plans. That being said, I would approach this situation with the utmost respect for Mrs. Black's trust and long-standing relationship with me.

I would first discuss the conflict at hand with Mrs. Black and explain that my plans have already been made, and that I am unable to break them. However, I would be willing to make alternative arrangements that could potentially allow me to attend to her medical needs while still managing my personal obligations. We could try to find an earlier time, or a different day that is convenient for both of us.

I understand the importance of continuity of care and would honor Mrs. Black's wish to receive my care. That being said, I would make sure to also suggest other healthcare providers in the area who could provide her with the same high-quality care that she has come to expect from me.

Working together with Mrs. Black, I am confident that we can find a solution that meets her medical needs. I will strive to do my best to ensure that Mrs. Black's medical needs are met in a timely and ethical manner.

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Beginner
You have a meeting set up with Frankie. He is the son of a family friend who moved to Thunder Bay about 20 years ago and so you have never met him. He has come down from Thunder Bay to look over "southern universities". He urgently needs some information on schools as he will have to make some serious decisions soon. He is happy to get this meeting as he realizes how tight your schedule is. In fact your next meeting is in 8 minutes. Frankie is in the room.
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ChatGPT's answer ...

Hello Frankie! It’s great to meet you. I can tell you a bit about medical schools in Canada that you may be interested in. Depending on your academic background and qualifications, there are some great programs available. First, you would need to check if there are any prerequisite courses you need to take in order to be eligible to apply.

Also, depending on whether you want to pursue MD or DO, you should start looking into programs that offer that. Additionally, look for programs offering specialties that you’re interested in and ones with a good track record for getting students into top residencies. Even if the university isn’t particularly well known, a good program can be a great fit for you.

Finally, don’t be afraid to ask around—reaching out to doctors, advisors, and current students in the program can help you get a better understanding of what a program offers.

Does that make sense? Is there anything else I can answer for you?

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Beginner
At the beginning of your last year of undergraduate studies, the Dean of your Faculty has offered to all of you the opportunity to swallow a „red‟ pill. If swallowed, this pill would increase enormously your ability to „absorb‟ all the educational material being presented to you in all your courses. In fact, this pill would basically guarantee that you would receive an A+ in all your future courses with a significantly reduced workload. Would you take the red pill?
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ChatGPT's answer ...

Absolutely not. As a doctor, I understand the importance of hard work and dedication to being successful and responsibly helping patients. Taking this "red pill" would jeopardize my credibility as a medical professional and set a bad example for future students. In addition, knowledge gained through rigorous coursework, hands-on experience, and interactions with mentors is essential to becoming a well-rounded doctor. Instead of taking the pill, I chose to take advantage of the extra time I had that year of study to reach out to mentors, research opportunities, and participate in extracurricular activities that have helped me understand the context of medicine and my responsibilities as a physician.

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Intermediate
A physician picked up a car accident victim from the street and brought him to the ER in his car. He did not want to wait for an ambulance because the patient‟s condition was critical. Physical examination in the ER reveals quadriplegia. Is the physician liable for this consequence?
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ChatGPT's answer ...

The accountability for the uncertain outcome of medical care, such as the one described in this case, is a difficult challenge to answer. The medical reality is that medical practice is inherently unpredictable and outcomes can never be guaranteed. In this case, the physician is likely not liable since they acted out of the necessity to save the patient's life and acted with the patient's best interests in mind. Additionally, in these emergency situations, the physician is often not presented with a safer option than using their own vehicle and taking action as rapidly as possible. The physician acted in the best interest of the patient by placing their wellbeing above all else and is therefore, not considered liable for the patient's outcome.

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Advanced
You are sitting at a desk in front of the interviewer with a screen between you. You have a set of blocks in front of you and you have to set them up in a certain way. The interviewer knows the solution and you can't see them and can only ask them yes or no questions. Correctly assemble the blocks.
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ChatGPT's answer ...

I would begin by taking a few moments to observe the blocks, counting how many blocks there are and getting a sense of each block's size and shape. Then I would ask the interviewer if I can begin by asking questions about the blocks. Depending on the interviewer's response, I would then ask a series of short, yes or no questions that would help me understand the puzzle's constraints. Questions could include: “Do I need to use all the blocks?”, “Are the blocks touching one another?” and “Can I move individual blocks?”. As I ask questions, I'd make sure to take into account the interviewer's responses and slowly build the puzzle until I arrive at the desired solution. Through this process of structured problem solving, I would be demonstrating to the interviewer that I have the skills to work under pressure, think logically, and make sense of complex problems.

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Advanced
A 18-year old man is diagnosed to have suspected bacterial meningitis. He refuses therapy and returns to the college dormitory. What should a physician do in this situation?
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ChatGPT's answer ...

If a patient is diagnosed with suspected bacterial meningitis and refuses therapy, it is important to follow-up with the patient and ensure proper safety measures are taken. First, the physician should ensure the patient is aware of the severity of their condition and potential consequences if they do not seek proper medical attention. It is also essential to inform the patient of the risk they pose to those around them, should they choose not to receive treatment.

In addition to continuing to explain the dangers of their condition, it is important to research the patient's options regarding proper care and treatment, including any financial aid or support groups that would provide meaningful assistance. Lastly, the physician should ensure that there is a strong support system in place at the patient's college dorm. This would include the availability of resources such as counselors, mental health professionals, and other home remedies if possible. Through continued conversations with the patient, the physician should work to ensure that the patient receives the care they need and that their safety is prioritized at all times.

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Beginner
You are given a list of items that you would want to take in your suitcase for a two-week holiday. You are told that you can only pack half of the items available.
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ChatGPT's answer ...

If I'm given a list of items to take on a two-week holiday and can only pack half of them, I would pack the items that I will use more frequently and those that are lighter weight. For instance, I would bring clothes that are easy to layer and coordinate, so that I can mix and match to create different looks. I would also bring items such as toiletries, a first aid kit, and any medications that I may need. I would also include any necessary documents and paperwork to make the trip smoother. Finally, I would bring whatever electronics I will need, such as a laptop, cell phone, and any charging cords. That way, I can stay connected with family and friends and not miss a beat.

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Advanced
A general principal in the pharmaceutical industry is that a drug is not real unless it has been tested in English speaking countries. A real drug is one that actually works and can be an economically viable product. Do you think this general principal is valid and/or acceptable? Discuss this question with the interviewer.
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ChatGPT's answer ...

I believe this general principal is valid andacceptable, as it ensures that drugs are supported by strong evidence that proves their safety and efficacy. Furthermore, English speaking countries typically have well-established regulatory frameworks in place to guarantee the highest standards of safety and efficacy. Additionally, by testing the drug in a larger population of English speaking countries, it helps to ensure that the drug can be an economically viable product.

However, I would call into question the ethical considerations of this principal. Particularly, it could disadvantage non-English speaking countries and populations, who have unique health needs and different cultural contexts which could directly impact the efficacy and success of a drug.

Therefore, as a doctor I would advocate for a more equitable approach which better incorporates global perspectives and considers the needs of non-English speaking countries. Increasing global collaborations and sharing of scientific data could help to achieve this, and could go some way to levelling the playing field when it comes to pharmaceuticals and healthcare.

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Beginner
Your 5 year old nephew asks you, "Why is the sky blue?” How would you answer him using a series of simple scientific experiments?
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ChatGPT's answer ...

I'm glad you asked me that question! The sky is blue because of the way sunlight interacts with tiny particles in the atmosphere. We can prove this with a simple science experiment. First, we need some water and a white wall. Fill a cup with water and hold it up against the wall. You'll notice that the color of the wall is reflected in the water. Now, pour some blue food coloring into the cup. When you look at the cup again, what color do you see? Blue! Now, when sunlight passes through the atmosphere, it hits tiny particles in the air, like blue food coloring does with the water. This makes the sky appear blue.

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Beginner
You are spending your evening as a volunteer in the hospital. It is late and you see a number of staff duck into the supply closet with an empty bag and reappear in a few minutes with it appearing full. You have heard other staff members discussing that supplies are missing on a regular basis that cannot be accounted for. After observing the actions of the other staff members, what do you do?
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ChatGPT's answer ...

Given the situation I observed, I believe it is my duty to report the staff members for the suspicious activity. I understand that this is a delicate situation, as I am still a volunteer and it could negatively impact the staff members involved. That being said, I also understand that it is my professional and ethical duty to take action and can't be complacent as a part of the medical field. Therefore, my immediate course of action would be to report the incident confidentially to my supervisor at the hospital and let them take the proper steps depending on their investigation.

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Advanced
You are working on a group project with 5 other students. One of the students doesn‟t show up for meetings or if they do show up - they are late and leave early. They have put no effort into the group project but show up on the day of the presentation and try to take credit for the project. What do you do in this situation?
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ChatGPT's answer ...

When I am working on a group project with other people, I try to ensure that team dynamics are positive and productive. In a situation like this one, where a team member is not contributing, I would approach the situation with a calm and collected demeanor and bring it to their attention. I would give them a fair chance to explain their behavior and express any issues they may be having, while also emphasizing the importance of the group project and the need for everyone to give their full effort.

If they cannot or do not offer any valid explanations, I would make it clear that their lack of participation is having a negative effect on the team dynamic, as well as the project's outcome. I would employ problem-solving strategies to work through the situation and might suggest alternate deadlines for their tasks or rearranging their workload. However, if the behavior persists, I would ask for a team leader or supervisor to intervene and help address the issue.

Ultimately, in any project, it is important to recognize and appreciate the effort of every team member and to ensure that everyone is contributing equitably. Strong and effective communication is key to any successful team project, and it is important to create an environment where all team members feel supported and heard.

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Advanced
You are a current undergraduate student. During the week of graduation, you attend a number of parties around the Lower Mainland with your best friend, Kelly. The last party is held at a camp ground in Squamish. The morning after the party, you receive a call from Kelly. She asks that you come over and talk. Kelly reveals that she left early and drove home despite drinking that night. Enter the room and talk to Kelly.
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ChatGPT's answer ...

Hi Kelly. It's so nice to see you. What about graduation was so upsetting for you?

It's clear to me that something has been troubling you. I'm here to listen and talk if you want to share. Nothing you say will leave this room.

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Intermediate
A friend has accessed your laptop and discovered your draft for an essay that is due by you both who are taking the same course. How do you handle this?
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ChatGPT's answer ...

I would first sit down with my friend and explain the situation. I would be honest with him or her and explain how I feel. I would explain that my essay is important to me, and that I don't want any other issues coming up before the submission date. I would also encourage my friend to continue to pursue their own original ideas and ensure that we both put our best efforts into our own separate assignments. I would also suggest that it may be helpful to both of us if we talk to the professor to discuss our options. It is important to me that we both get the best grade possible, but also that we both respect each other's work and ideas.

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Advanced
Deterrent Fees (Knowledge of the Health Care System) Recently, the Prime Minister of Canada raised the issue of deterrent fees (a small charge, say $10, which everyone who initiates a visit to a health professional would have to pay at the first contact) as a way to control health care costs. The assumption is that this will deter people from visiting their doctor for unnecessary reasons. Consider the broad implication of this policy for health and health care costs. For example, do you think this approach will save health care costs? At what expense? Discuss this issue with the interviewer.
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ChatGPT's answer ...

I believe that deterrent fees have the potential to save health care costs, but only if the fees are consistent across the board, and only if there is meaningful education and support for those who are most vulnerable. A deterrent fee should also be mitigating measures in place to ensure those who are in need of medical assistance receive it.

In this sense, the underlying assumption of the policy is that it will act as a preventative measure to ensure more responsible use of health care services. While this may help to reduce costs associated with visites deemed as "unnecessary", it may also create additional costs for those already struggling to access health care services in the long-term. Thus, any deterrent fees should be paired with educational and financial supports that allow full access to services for those who may not otherwise be able to pay the fee.

Overall, I think the potential savings from such a policy could be significant, but there must be additional considerations to ensure access to care is not hindered for those who need it most.

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Advanced
You are a 3rd year medical student doing hospital rotations. A fellow medical student who is doing rounds with you often show up to these sessions tired, messy, hung over, or even drunk. One day you found him in the lunch room unaccompanied, so you decided to talk to him. Please enter the lunch room.
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ChatGPT's answer ...

As I entered the lunch room I saw my fellow medical student sitting at a table. I walked up to him and said, “Hi, I noticed you were alone. Is everything alright?” I could see from his red eyes and disheveled clothes that something was wrong.

He shook his head, looked away and replied, “No, it’s been a tough few weeks.”

I sat down next to him, looking around at the empty lunch room, and said, “I know you don’t want to talk about it, but I just wanted to let you know that I’m here to listen if you need somebody to talk to. I understand that things can get really tough when you’re on rounds and I just want you to know that I’m here for you.”

He was quiet for a minute but eventually looked at me with a hint of a smile and said, “Thank you. It means a lot.”

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Intermediate
Do you think medicine should be more about changing behaviour to prevent disease or treating existing disease?
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ChatGPT's answer ...

I think medicine should strive to be inclusive of both preventative and curative care. By imparting preventative measures and encouraging healthy lifestyle choices, we can significantly reduce the burden of chronic diseases that so greatly burden our population and healthcare system. We also must have effective treatments for existing conditions as cures for many medical conditions remain elusive in spite of our best efforts. Ultimately, I believe that a balance of both preventative and curative medicine is essential and that we should work together to ensure equitable care for all.

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Intermediate
Statistics have shown that effects of advanced age such as changes in vision and response time may adversely affect elderly drivers' ability to drive safely. As a matter of fact, many doctors discuss the issue of stopping driving with their older patients as a precaution for the safety of theirs as well as the public's. Do you think older drivers have to give up driving when they reach a certain age?
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ChatGPT's answer ...

I believe there needs to be an individual assessment of each patient's situation. It's important to take into account their physical, cognitive and emotional capabilities. In some cases, there may be mobility issues or physical ailments such as poor eyesight or hearing loss that may put them at risk when driving. In those cases, it could be beneficial to have a conversation with the patient to discuss alternatives to driving or transportation that can help minimize risks. Generally, encouraging regular eye exams, following physical activity and healthy diet guidelines, and having regular check-ins with the doctor to discuss any issues can be beneficial. Ultimately, the safety of the elderly drivers and the public is the most important factor, and older drivers should evaluate their abilities accordingly.

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Advanced
You are an emergency room physician at a local hospital. A patient comes in requesting painkillers for his back. Upon reviewing his file, you realize that he frequently comes to the hospital requesting painkillers and he has already capped his prescription for the month. Upon examination, you notice no new injuries to indicate an increase in painkillers. You politely tell patient that you will not increase his dosage or re-fill out another prescription for him. He tells you that he will go and inject himself with heroin right now if he does not get the painkillers. What do you say next? What do you do?
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ChatGPT's answer ...

I would explain to the patient that I understand his predicament, and encourage him to consider other pain management strategies rather than using drugs. I would reassure him that I am here to help him find the most effective and safe treatment plan, and that I am willing to work with him to find a better outcome. Additionally, I would ask him to consider seeking out other resources such as support groups, counseling, or therapy to help him better manage his pain and enable him to find more positive and sustainable methods of relieving his pain. Lastly, I would explain to him that I am here to help, and if he does not feel comfortable discussing the situation with me or getting help elsewhere, then I can provide additional information and help him reach out to the proper resources.

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Intermediate
A 17-year old boy lives independently. He is married and has one child. He wants to participate in a medical research study. Does he need his parents‟ permission?
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ChatGPT's answer ...

The answer will depend on the guidelines set forth by the research study that the 17-year-old is interested in participating in. Generally speaking, since he is married and has a child, the 17-year-old is considered to be a legal adult in the eyes of the Canadian government, and therefore does not need his parents‟ permission to participate in the study. That said, I would suggest that the 17-year-old thoroughly review the guidelines set forth by the research study to ensure that he meets all of the necessary requirements and that his participation is in compliance with the regulations of the study.

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Intermediate
In his recent novel „I am Charlotte Simmons‟, Tom Wolfe bases on life at a typical university in North America. He develops various characters and describes their lives, surroundings, beliefs, and moral behaviour while they are at the university. Wolfe acknowledges that it is 40 years since he himself was a student at university. Consequently, his children, currently at university, read the drafts of the book as it was been written and ensured that the descriptions associated with life at this fictitious university were appropriate for the modern day. What changes to the original script do you think Wolfe‟s children made?
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ChatGPT's answer ...

I believe one of the key changes that Wolfe’s children likely made to his script was related to technology. 40 years ago, when Wolfe was a medical student, mobile phones, computers, and the internet were still in their infancy, so much of his original script would have been out of date compared to the way university life looks today. His children probably urged him to make the changes to accurately reflect the modern university experience, where technology plays a huge role in student life, whether it be communication, learning, or even socializing. In addition to this, I believe they also ensured that he correctly captured the social and cultural values of today's university students.

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Intermediate
A 14 year old patient requests birth control pills from you and asks that you not tell her parents. What would you do?
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ChatGPT's answer ...

I understand your wish to remain confidential, but I do have an ethical responsibility to ensure the best decisions are made for your health. I would be willing to discuss hormonal contraception options with you but in order for you to use them safely and without informing your parents, I will need a comprehensive medical history and a review of any possible medical risks. I also need to discuss consent, since a 14 year old may not be fully capable of making an informed decision. It would be important to make sure your health would be well managed and that you fully understand the risks associated with using hormonal contraception. In addition, I would discuss other methods of contraception (for example, condoms) that could be used in the absence of hormonal contraception if appropriate.

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Advanced
Recently, certain hospitals in the Vancouver Area have been charging patients $29/day for their hospital fee on top of the fees charged to MSP. What are the implications of this policy? Discuss both positive and negative impacts with the interviewer.
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ChatGPT's answer ...

The recent $29/day hospital fee policy has far-reaching implications for the hospitals in the Vancouver area. On the positive side, this fee may help encourage financial responsibility in patients. By paying for part of their care, financially literate patients can ensure that they are contributing to their medical care in a responsible way. Furthermore, these fees can help cover some of the costs associated with medical care, offsetting the burden on public healthcare funds.

On the other hand, the $29/day fee may have some negative implications. This fee could lead to some people delaying care, as they may not be able to afford this extra cost. Additionally, some people may struggle to pay the fee when coupled with other costs such as prescription medication. These fees could also have a disproportionate impact on those on low incomes, people with chronic conditions, and those who are uninsured.

To mitigate the financial impact, it is important to ensure that appropriate arrangements are in place to support those who cannot afford to pay. This could include flexible payment plans, discounts, and subsidies to ensure financial access. Banks and credit unions may also be able to provide financial assistance to cover these fees. Finally, an evaluation of the policy should be conducted to determine the efficacy of the fee and its impact on patients.

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Intermediate
A couple has decided to have a child through artificial insemination. They asked the physician for sex selection of the child. What should a physician advise in this situation?
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ChatGPT's answer ...

As a physician, I would advise the couple that sex selection of a child through artificial insemination is not ethical. There are potential risks associated with this type of artificial insemination, including an increased risk of chromosomal disorders and birth defects. Furthermore, artificial insemination does not guarantee success, so it also potentially raises the costs associated with giving birth. Lastly, sex selection could lead to gender inequality, as selection may be based on outdated gender stereotypes or cultural biases. For these reasons, I would advise against this type of artificial insemination.

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Intermediate
You are shift supervisor at McDonalds fast food restaurant. The owner of the franchise has called you over. He is very upset as he has received 3 complaints in the last 30 minutes about the meat in the hamburgers being poorly cooked. There are two people (one male, one female both 15 years old) who have been cooking the meat for the past two hours. The female is the owner‟s daughter. How would you handle the situation?
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ChatGPT's answer ...

Thanks for the question. As shift supervisor at McDonalds, I have experience dealing with similar situations. When I am confronted with a situation like this, I always take into account the safety of the customers and employees.

The first step I would take is to investigate the situation. I would ask the owner questions to try to understand the exact complaints, like the nature of the issue and who reported them.

Next, I would discuss the concerns with the two employees who were in charge of the hamburger cooking shift to understand the process more thoroughly. I would ask about their process for preparing the meat, what temperature the meat had been cooked to, and if there are any additional safety measures that could be taken.

Depending on the answers, I would then put in place measures to rectify the situation. I would ensure that the customers who complained were provided with satisfactory compensation and that the issue was resolved correctly. I would also look into measures that we could put in place to ensure the same issue does not occur in the future, such as looking into the cooking temperature, staff training and development, and additional safety training.

At the end of the day, safety is always my number one priority. I believe that the best course of action in this case would be to investigate the situation, and then put in place measures to ensure the problem is corrected and doesn't recur. Thank you.

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Intermediate
Your mother calls you and asks you to help with a major family decision. Your maternal grandfather is 70 years old and has been diagnosed with a condition that will kill him some time in the next five years. He can have a procedure that will correct the disease and not leave him with any long-term problems, but the procedure has a 10% mortality rate. He wants to have the procedure, but your mother does not want him to. How would you help mediate this issue?
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ChatGPT's answer ...

If I was mediating this issue, I think the first step would be to assess both perspectives. I would listen to my mother's concerns and make sure that I understand why she feels the way she does and also why my grandfather is coming to the conclusion that he wants to have the procedure. It's important to take both perspectives into consideration, even if we disagree. Once I understand each party and their needs, I would then focus on trying to reach an agreement that everyone can live with. This could range from further exploring other options that the grandfather may not have thought of, to understanding what the family's collective values are, and then making a decision based on them. Ultimately, I think it has to be a decision my grandfather is comfortable with, and I would try to support the whole family in making an informed decision.

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Advanced
An athlete who is training for the Olympics admits that he is using anabolic steroids and asks you to monitor his liver function. He would prefer to be under your care, as you are his family physician and you know his history. However, he states that if you do not agree, he will go to a walk-in clinic. Discuss the ethical issues in this case.
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ChatGPT's answer ...

As a physician, my primary concern is for the patient's health and well-being. My response to this patient's request is to strongly advise him against using anabolic steroids, as they are linked to serious health issues, including liver damage.

I would also advise him to seek medical care from a specialist rather than relying on a walk-in clinic, as that type of care may not be able to address the negative effects of steroid use on his body. Additionally, I would discuss with him the possibility of providing anonymous testing for drugs in his system to help him monitor his health, as well as the potential risks of using steroids in the long term.

Finally, I would want to discuss the ethical issues surrounding the use of such performance enhancers, including questions of fairness and health implications. Ultimately, I would urge him to consider other methods of training and competing to avoid the risks associated with anabolic steroid use.

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Advanced
You are working in a clinic for street youth. A 16 year old girl comes in seeking sleeping pills that you do not think is appropriate for her. She says she will see another doctor if you do not prescribe them. What would you do?
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ChatGPT's answer ...

If the 16 year old is exhibiting signs of depression, suicidal ideation, or other mental health issues then I would first suggest engaging her in a dialogue to better assess her mental state. I would explain to her the importance of discussing with a mental health professional whatever may be causing her insomnia instead of using sleeping pills to cope. I would also emphasize that I am not able to better help her if she withholds important information and advise her to see a mental health professional that can better understand her condition and be able to provide more focused and personalized care. If the patient remains insistent on seeking sleeping pills, then I would refer her to another doctor who might be more willing to prescribe them. Under no circumstances would I prescribe sleeping pills to this patient and risk her safety for my own convenience.

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Advanced
Two patients need a liver transplant, but there is only one liver available at the time. Tell the interviewer how you would decide between a 64 year old politician who happens to be an alcoholic or, a 26 year old mother of three who is on welfare.
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ChatGPT's answer ...

That is an incredibly difficult decision to make and my immediate instinct is to find a way to save both patients. Unfortunately, that is often not feasible due to a lack of medical resources, including organs for transplant.

When considering the two patients, I believe that the best decision is to prioritize the welfare of the 26 year old mother of three. This decision is based on an ethical principle known as the principle of utility, which states that the decision should be made that would result in the greatest amount of happiness for the greatest number of people. In this scenario, the mother of three is still relatively young and has a life-long opportunity to make positive contributions to society, while the 64 year old politician is nearing the end of their life-span. That fact combined with their alcohol use, places the mother of three in a better position to make use of a donated liver than to the politician.

I would certainly consider other factors as well such as general health, existing familial and social supports, psychological stability and length of wait time. Ultimately, however, I believe that the principle of utility should remain an important factor in the decision-making process and that the 26 year old mother of three should be prioritized in this instance.

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Intermediate
In recent years, there has been an increase in popularity of full contact sports, such as Ultimate Fighting Championship (UFC) and boxing. Should doctors have a role in regulating such sports?
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ChatGPT's answer ...

Doctors should certainly have a role in regulating full contact sports such as UFC and boxing. As the healthcare professionals on the front lines of keeping athletes safe, doctors are well positioned to help guide regulations regarding such sports. We can help set standards for safety equipment, monitor and effectively treat concussions and other injuries sustained during fights, and provide medical advice on how to maintain the health of fighters. By working alongside sports governing bodies, doctors can help to keep athletes safe and promote the responsible practice of full contact sports.

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Intermediate
Imagine your friend‟s father is 70 years old and has lived in Edmonton his whole life. He is taken to the emergency department at the University of Alberta Hospital. He has had good health until now and this is the first time he has been to hospital of any kind since he was 20 years old. What changes in the healthcare system and environment in the hospital do you think he would notice?
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ChatGPT's answer ...

I think he would notice a few major changes. First, the overall environment of the hospital has changed a lot in the past 50 years. He would see much more cutting-edge technology, such as modern medical equipment and diagnostic tools, that have helped improve patient care. He may also see a more automated hospital, where nurses and doctors are able to access patient records electronically and more quickly.

Second, he would notice an increased focus on patient comfort and satisfaction. Hospitals nowadays have more emphasis on patient-centered care, meaning the hospital staff would be focused on the patient’s wellbeing and the experience they have in the facility. He may also encounter a more diverse team of medical professionals, with different backgrounds and experiences that work together to ensure a quality healthcare experience.

Finally, he would notice a change in the overall structure of the healthcare system. New regulations and laws on insurance and patient privacy would be in place that were not present during his previous visit. In addition, it’s likely that cost of care and accessibility to care have both improved since then.

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Beginner
What is the difference between HMOs and PPOs?
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ChatGPT's answer ...

HMOs (Health Maintenance Organizations) and PPOs (Preferred Provider Organizations) are two different types of managed care. HMOs require members to receive healthcare services from designated healthcare providers, often in their own network, in exchange for lower rates. PPOs offer members more flexibility, as they have the option of selecting different practitioners or facilities outside of their designated network; however, they will usually incur higher out-of-pocket costs when they choose to do so. Both HMOs and PPOs allow members to receive preventative care, including physicals and screenings, with little or no cost. Ultimately, individuals will want to consider which plan works better for their lifestyle and budget when selecting health care coverage.

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Intermediate
What is your opinion about stem cell research using fetal tissue?
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ChatGPT's answer ...

Stem cell research using fetal tissue has the potential to bring tremendous benefit to society. For example, it can be used to develop treatments for medical conditions such as Alzheimer's, Parkinson's and diabetes, and it can also help advance our understanding of diseases like Down syndrome, muscular dystrophy, and birth defects. That said, it is important to ensure that the tissues used are obtained in an ethical manner, so as to avoid any harm to the donor or respect the life of the fetus. I strongly believe that the potential benefits of stem cell research outweigh any ethical concerns, if those concerns are properly addressed.

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Intermediate
Is it ethical for doctors to strike? If so, under what conditions?
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ChatGPT's answer ...

The ethicality of striking for physicians is a complex issue. I believe it is ethical for doctors to exercise their right to organize and exert pressure on governments or administrators in certain situations. I believe it should only be done as a last resort within a safe framework: the strike should not impact patient safety. However, the safety of those involved with the strike should also be taken into consideration. A proper assessment of the current situation and potential consequences of the doctor's action before any decision to strike is essential. The strike should also have a clear goal, provide sufficient time for negotiation, end with a reasonable agreement, and work to benefit both parties. All of these conditions must be met before doctors should consider striking as an ethical and legitimate way to address workplace issues and concerns.

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Advanced
A 12-year old boy is diagnosed with a terminal illness (e.g., malignancy). He asked the doctor about his prognosis. His parents requested the doctor not to tell him the bad news. What should the doctor do in this situation?
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I would approach this situation as a compassionate and empathetic doctor. I would explain to the parents that it is my professional medical opinion that it is important that the patient, the 12-year old boy, be aware of his diagnosis and prognosis. Although I understand the parents’ desire to protect their son, withholding information can cause more emotional damage in the long-term. Moreover, it is important to fulfill the ethical obligation to tell the patient the truth.

If the parents are still resistant to this plan of action, I would seek out the advice of a hospital social worker or a therapist for additional guidance. It might be wise to bring in a third party to help discuss the best course of action for both the patient and the family. I would also recommend arranging for psychological and/or emotional support for the patient and his family members throughout the duration of his illness.

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